Falls prevention interventions for community-dwelling older persons with cognitive impairment: a systematic review

Winter, Heidi, Watt, Kerrianne and Peel, Nancye May (2013) Falls prevention interventions for community-dwelling older persons with cognitive impairment: a systematic review. International Psychogeriatrics, 25 2: 215-227. doi:10.1017/S1041610212001573


Author Winter, Heidi
Watt, Kerrianne
Peel, Nancye May
Title Falls prevention interventions for community-dwelling older persons with cognitive impairment: a systematic review
Journal name International Psychogeriatrics   Check publisher's open access policy
ISSN 1041-6102
1741-203X
Publication date 2013-02
Year available 2012
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1017/S1041610212001573
Volume 25
Issue 2
Start page 215
End page 227
Total pages 13
Place of publication Cambridge, United Kingdom
Publisher Cambridge University Press
Collection year 2013
Language eng
Formatted abstract
Background: Globally, falls in older people are a leading cause of injury-related mortality and morbidity. Cognitive impairment is a well-known risk factor for falls in this population group. While there is now a large body of evidence to support effective interventions for falls reduction across care settings, very little is known about interventions in the vulnerable, but increasing population of cognitively impaired community-dwelling older people. Therefore, the purpose of this systematic review is to investigate interventions designed to reduce falls in community-dwelling, cognitively impaired older adults.

Methods:
A literature search of databases was conducted to identify original research published in English, which met predefined inclusion and exclusion criteria for effective (non-pharmacological) falls prevention interventions in cognitively impaired community-dwelling people over 65 years of age. Data from the selected papers were extracted into data extraction tables and analyzed according to study characteristics, measures, results, and quality.

Results: The review identified 11 studies providing data from 1,928 participants. Interventions included exercise, health assessment and management of risk, multi-component and cognitive behavioral programs, and hip protectors as falls risk reduction strategies. Seven of the selected studies showed an intervention effect in decreasing falls risk; however, only two of these showed a significant improvement in physical performance measures specifically in a cognitively impaired group.

Conclusions: The diversity of interventions, study designs, populations, and quality of the studies, which met inclusion criteria, resulted in conflicting evidence and inconclusive results for falls prevention interventions in this highly complex population.
Keyword Accidental falls
Prevention and control
Cognition disorders
Community setting
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published online: 03 October 2012

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Official 2013 Collection
School of Public Health Publications
School of Medicine Publications
 
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